High Triglycerides

Below 159 is a normal level of triglycerides. What happens if your level is between 200-400.
First try to decrease your intake of sweets, candies, pies and cakes since they can contribute to high triglycerides

Increase your intake of omega three fish oils from salmon, herring, mackerel and tuna

Exercise burns triglycerides, so increase your activity

Decrease refined carbohydrates such as white flour and white rice and increase your intake of brown rice, 7 grain breads, whole wheat pasta

Maintain a healthy weight- a modest weight loss can reduce your triglycerides.

Eat low in saturated fats (animal fats) and low in fried foods.

Avoid trans fatty acids and hidden fats such as luncheon meats, hot dogs

eat more plant foods such as dried beans, peas,

Constipation as a common cause of belly aches.

A follow up of a 10 year old in my practice revealed that constipation was the cause of her bellyaches. On miralax, she had bowel movements daily and her three times daily belly aches were completely resolved. Mom asked if there was an Over the counter fiber supplement her daughter can have. Here were my nutritional recommendations:

Minimize the milk and cheese intake, as they contain no fiber to help constipation and the casein part of cows milk, slows down digestion- almost bringing it to a grinding halt.

Use soy and almond milk instead if you want milk substitutes.

Increase your intake of insoluble fiber- from fresh fruits, peas, lentils, beans

Insoluble fiber, helps increase the transit time of your stool and keeps it moving along the intestinal tract.

Signs you may become diabetic

A patient of mine who is over 100 pounds overweight for her height had a few blood tests abnormalities that suggest the progression to diabetes may be occurring. Her fasting blood sugar was above 100 ( hers was 150).

Fasting insulin level was 36 ( normal is less than 24). This means her body is pumping out more insulin due to resistance to insulin from overweight. This is also reflected in the high fasting blood sugar. The body is not able to metabolize the sugar in the diet

The treatment for this is to lose weight and make better food choices. High fiber in the diet will help slow down the absorption of sugar into the blood and may help decrease the blood sugar after a meal

Less processed foods is important, since they convert to blood sugar rapidly and are low in fiber as well.

The third abnormality that is seen in patients who have trouble with insulin and blood sugar is elevated liver enzymes since the body converts sugar into fat in the liver. The fat surrounds the liver, and causes inflammation around the liver as well. It can be corrected with weight loss and the good choices mentioned above

Eating fresh fruits and vegetables, and whole grains are a great way to get more fiber into the diet. Try to stick to the number of calories a day that is recommended for weight control or 500 calories less a day if you want to lose weight

500 calories less a day can be achieved by decreasing intake of sugary foods, processed foods such as buns, breads, sweet desserts.

Diabetic at 37

This week I saw a new onset of type one Diabetes in a 37 year old otherwise healthy for height and weight male. His sister also became diabetic at the same age. I felt bad for him, having to count carbs and give himself shots of insulin.

Kudos for him, thanks to apps, and his diligence, he is documenting all he eats, and how much insulin he takes and his blood sugars. He is doing a wonderful job and off to a good start. Thats an example of technology to our advantage

I was able to tell him how many calories he needed in a day and to break them down into 30% protein, 30% fat and 40% as carbs with emphasis on complex carbs and high fiber instead of simple sugars

High fiber slows down the absorption of glucose and helps regulate blood sugar better. It may decrease his need for insulin in the long run.

Dairy has become the Food to avoid

Certain Milk products promote insulin resistance ( and diabetes) . The milk sugar lactose acts like a soft drink and can spike insulin levels and contribute to prediabetes

Studies at Harvard’s school of public health found that children who drink three servings of milk a day ( even skim or 1%) were more prone to overweight than those who drank fewer servings a day. Possibly this was due to the higher relative content of lactose lower fat milk

Dairy creates acne – Those who drink more milk as teenagers had higher rates of severe teenage acne than those who rank less according to a Nurses Health study. Besides lactose, researchers surmise the presence of hormones in milk might have been the cause.

Cows milk may be responsible for eliciting autoimmune response that leads to diabetes in children. Bovine serum albumin may lead to the destruction of the beta cells of the pancreas.

Celiac enzymes may enable patients to eat wheat

Currently, a gluten free diet is the only way to manage celiac disease. But new drugs in clinical trials with humans, as well as more in the pre-clinical phase, may one day allow people with the disorder to enjoy gluten again.

These options are still years from commercial availability, but early results have been encouraging, according to a review of the drug pipeline in Gastroenterology Report.

“Based on data on ClinicalTrials.gov, there are two investigational products we are aware of which may enter large confirmatory trials in the not too distant future,” said lead author Dr. Klaus Gottlieb, senior medical director of the immunology and internal medicine department for Quintiles, a company that provides bio-pharmaceutical development services and consulting in Durham, North Carolina.

One of them is an enzyme that splits the molecule in wheat that causes celiac disease, gluten, into smaller harmless products and another one promises to make the gut less leaky and thus prevent potentially toxic substances (from) reaching deeper layers where they may cause inflammation,

For one potential oral therapy, patients take a mixture of two enzymes that split the gluten molecule into smaller harmless products. In a trial of adults with celiac disease, those taking this drug had no change in their intestinal biopsies after eating gluten, while those taking a placebo did have evidence of injury to the intestinal lining.

frog joke

Hoping for good news he goes to meet with a fortune teller.

The fortune teller closes her eyes, makes some strange sounds, and finally says, “You will meet a beautiful young girl that will want to know everything about you”

The frog gets excited and says, “Wow! When will I meet her? At a party?”

“No,” replied the fortune teller, “in her biology class.”